Successful Long-Term Airway Stabilization with a Modified Pacifier in a Syndromic Infant

Abstract

Airway management is one of the key aspects of neonatal anesthesia and an oropharyngeal airway (OPA) is used in daily intensive care practice to relieve upper airway obstruction. A myriad of congenital malformations have features that might cause a difficult airway management and cleft palate is among these conditions. Herein, we describe a syndromic infant with alobar holoprosencephaly whose long-term airway patency was maintained with a modified infant pacifier. We would like to share our experience and contribute to the literature with the introduction of a readily available and easily-inserted apparatus.